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1275142606
SHASTA MINTON
MOORESVILLE, NC
NPI
1275142606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2020-07-31
Last Update Date
2020-07-31
Business Address
SHASTA MINTON LCMHCA
311 WILLIAMSON RD STE 103
MOORESVILLE, NC 28117-5967
Phone number: 704-360-3049
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Mailing Address
SHASTA MINTON LCMHCA
106 SHELBURNE PL
MOORESVILLE, NC 28117-7306
Phone number:
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